Question

The UAP tells the primary nurse that the client diagnosed with CAD is having chest pain. Which action should the nurse take first?

a. Tell the UAP to go take the client's vital signs.
b. Ask the UAP to have the telemetry nurse read the strip.
c. Notify the client's HCP.
d. Go to the room and assess the client's chest pain.

Answer 1

The nurse should go to the room and assess the client's chest pain first, as chest pain in a client diagnosed with CAD is a potentially serious symptom that requires immediate assessment.

Step-by-step explanation:

The nurse should take option d, which is to go to the room and assess the client's chest pain first. Chest pain in a client diagnosed with CAD (coronary artery disease) is a potentially serious symptom that requires immediate assessment. The nurse needs to gather information about the pain, such as intensity, location, radiation, and associated symptoms, to determine the appropriate intervention.